Technical Assistance Request Form

The National Center for Healthy Safe Children provides training and technical assistance to states, tribes, territories, and local schools and communities on a fee for service basis. We respond to both competitive requests for proposals and sole source contracts on a case-by-case basis. We offer complete training and technical assistance packages that are developed specifically to the needs of your school and community. Specific areas addressed include: planning for, implementing and evaluating school-based mental health services, comprehensive approaches to youth violence prevention and school safety, trauma-informed approaches and youth engagement. If you would like to make a request for assistance, please include information about your specific needs and how we might be able to assist you.

Name *

Title *

Organization *

Email Address *

Phone *

Address *

City *

State *

Preferred method of contact *

Phone

E-mail

Best Time to contact *

Please select the category(ies) where you would like support from the National Center for Healthy Safe Children. *

On-Site Professional Development: Direct, customized training for district, school staff and community professionals (half-day, one or two-day onsite trainings)

Coaching and consultation (phone, web platform, or in person)

Phone call or email response to answer specific questions

Development of a program plan, implementation time line, program start up, program progress and refinements, etc.

Evaluation or needs assessment

Other

I’m not sure: Please contact me using the information listed above.

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